MEDICARE: JOCELYN MARYAM VASQUEZ- SAAVEDRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BACB1473090	CA

General Provider Information

NPI Number	:	1578421459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN MARYAM VASQUEZ- SAAVEDRA

Provider Business Mailing Address
First Line	:	4331 DESCANSO AVE
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3035
Country	:	US
Telephone Number	:	714-310-4377
Fax Number	:

Provider Business Practice Location Address
First Line	:	4331 DESCANSO AVE
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3035
Country	:	US
Telephone Number	:	714-310-4377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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